Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 29, 2007
License(s)
NP 4477 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 836 | Alameda, CA 94501-8836 | 510-521-6078 |
| LOCATION | 1002 CENTRAL AVE | Alameda, CA 94501-2306 | 510-521-6078 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.